Literature Review

MRI Results May Help Pinpoint PNEEs

Psychogenic nonepileptic events generate more brain MRI abnormalities, and their location may differentiate PNEEs from epilepsy.


 

A recent study suggests that brain MRI abnormalities are more common in patients with psychogenic nonepileptic events, when compared to the findings in normal persons. When investigators analyzed MRI data from 339 patients discharged from their epilepsy monitoring units, they found brain MRI abnormalities in 33.8% of patients with PNEEs and 57.7% in patients with epilepsy, much higher than would be found in a normal population. The researchers also discovered that the brain MRI anomalies during epileptic seizures were more likely to occur in the temporal region of the brain, while PNEE anomalies were more frequently multifocal.

Bolen RD, Koontz EH, Pritchard PB. Prevalence and distribution of MRI abnormalities in patients with psychogenic nonepileptic events. Epilepsy Behav. 2016;59:73-76.

Recommended Reading

Physicians and Patients Lack a Common Understanding of Seizure Clusters
Epilepsy Resource Center
Caring for Children With Seizures Who Use Cannabinoids
Epilepsy Resource Center
How Genetic Epilepsy Testing Can Impact Clinical Care and Practice
Epilepsy Resource Center
Case Study: Unclear Spells
Epilepsy Resource Center
Severe Insomnia Linked to Epilepsy and Poor Quality of Life
Epilepsy Resource Center
Patients With Epilpesy Have Limited Access to Health Care Services
Epilepsy Resource Center
Specialty Group Outlines Pros and Cons of Involvement in Sports for People With Epilepsy
Epilepsy Resource Center
Epilepsy Incidence in Older Adults Is Highest Among Black Patients
Epilepsy Resource Center
Most Women With Epilepsy Seem to Favor Effective Contraceptive Methods
Epilepsy Resource Center
Texting on a Smartphone Generates Unique EEG Readings
Epilepsy Resource Center